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Obesity and perioperative complications in head and neck free tissue reconstruction
Author(s) -
de la Garza Gabriel,
Militsakh Oleg,
Panwar Aru,
Galloway Tabitha L.,
Jorgensen Jeffrey B.,
Ledgerwood Levi G.,
Kaiser Katelyn,
Kitzerow Collin,
Shnayder Yelizaveta,
Neumann Colin A.,
Khariwala Samir S.,
Chad Spanos W.,
Pagedar Nitin A.
Publication year - 2016
Publication title -
head and neck
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.012
H-Index - 127
eISSN - 1097-0347
pISSN - 1043-3074
DOI - 10.1002/hed.24189
Subject(s) - medicine , comorbidity , perioperative , body mass index , surgery , odds ratio , retrospective cohort study , logistic regression , free flap , obesity , head and neck , univariate analysis , multivariate analysis
Background Free tissue transfer is a mainstay in reconstruction of complex head and neck defects. The purpose of this study was to determine if perioperative complications were more common in patients with body mass index (BMI) >30 kg/m 2 undergoing free flap reconstruction. Methods A multi‐institutional retrospective cohort was created. Medical complications, surgical complications, and procedural variables were recorded. Logistic regression was used to investigate univariate and multivariate associations between outcomes and predictors. Results Of 582 cases, 128 patients (22%) had BMI >30. Surgical complications occurred in 153 cases (26.3%), with an adjusted odds ratio (OR) for association of surgical complications with BMI >30 of 0.92 ( p = .71). Medical complications occurred in 178 cases (30.6%), with an adjusted OR of 0.78 ( p = .26). Age and advanced comorbidity status (Adult Comorbidity Evaluation‐27 [ACE‐27] 2 or 3) were associated with medical complications ( p < .0001). Conclusion BMI >30 does not predict medical or surgical complications in patients undergoing head and neck free flap surgery. © 2015 Wiley Periodicals, Inc. Head Neck 38 : E1188–E1191, 2016